8XK-12386-53093
3 vaccinations
8 coded responses
39 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 800 / CO
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3KN-29635-31792
Child or adolescent in my care · Female · 2022-06-30
Timeline
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2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
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2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature fluctuation, Body temperature increased, Chills, Eye pain, Peripheral coldness, Photophobia, Telemedicine — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Light sensitivity, sore eyes. Severe difficulty regulating my temperature. 1.5 hrs of uncontrollable shivering (9:15 pm -10:45 pm MST). Feet and hands freezing, core temp hot. Worst symptoms 9:15 pm - 9 am. · Healthcare visit (other): Phone conversationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Eye pain, Oedema peripheral, Photophobia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Light sensitivity, sore eyes. Left armpit, the side I got my injection, is sore and swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature abnormal, Headache, Hyperhidrosis, Pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Throbbing headache, especially with change in position or bending over. Sweating last 2 nights. Still some difficulty regulating my body temperatureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Breast discomfort, Gingival pain, Hyperaesthesia teeth, Oedema peripheral — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: I forgot to mention I had gum pain/sensitivity brushing my teeth for 4 days post vaccine. Mild left breast discomfort (vaccine side), continued armpit pain with mild swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Irritability — Feeling: Fair · Headache, Fatigue or tirednessFree text: Waves of fatigue, easily irritableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
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2021-11-18
Dose 3 — Pfizer-BioNTech
- 2021-11-18
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-11-19
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-22
- 2021-11-22
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2021-11-22
Call successfulCompleted over the phone
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2021-11-22
Call successfulDoes not wish to fill out VAERS report
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
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2021-12-23
Survey response — day 35, dose 3MedDRA: Diarrhoea, Fatigue, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat, runny / stuffy nose, diarrhea, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-02-17
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2022-05-19
Survey response — 6 months, dose 3MedDRA: Delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I gave birth · Healthcare visit (other): Gave birthMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
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2022-05-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-18
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Colds and a fever, negative for covidMedDRA releases: 2024-11 · check-in free text available
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2022-11-18
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-21
-
2022-11-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2021-11-18 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Light sensitivity, sore eyes. Severe difficulty regulating my temperature. 1.5 hrs of uncontrollable shivering (9:15 pm -10:45 pm MST). Feet and hands freezing, core temp hot. Worst symptoms 9:15 pm - 9 am.
Healthcare visit (other): Phone conversation
Systemic reaction (other): Light sensitivity, sore eyes. Left armpit, the side I got my injection, is sore and swollen
Systemic reaction (other): Throbbing headache, especially with change in position or bending over. Sweating last 2 nights. Still some difficulty regulating my body temperature
Systemic reaction (other): I forgot to mention I had gum pain/sensitivity brushing my teeth for 4 days post vaccine. Mild left breast discomfort (vaccine side), continued armpit pain with mild swelling.
Systemic reaction (other): Waves of fatigue, easily irritable
Release 10 — day 35, dose 3
Symptoms: Sore throat, runny / stuffy nose, diarrhea, fatigue
Release 11 — 6 months, dose 3
Release 12 — 12 months, dose 3
Symptoms: Colds and a fever, negative for covid
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Delivery | · | · | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Body temperature abnormal | ✓ | ✓ | ✓ |
| SRO | Body temperature fluctuation | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Breast discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release